1.Easy
Which item belongs in a sharps container?
- AAn empty IV bag with the tubing removed
- BA used scalpel blade
- CA soiled gauze dressing
- DA pair of used gloves
2.Easy
Why must fire doors in a hospital never be propped open?
- AThey stop fire and smoke spreading between areas
- BThey keep heat inside the ward in winter
- CThey keep noise away from patient rooms
- DThey stop visitors from entering the ward outside visiting hours
3.Easy
Which vaccine is a live attenuated vaccine?
- AMMR (measles, mumps, rubella)
- BInjected inactivated influenza vaccine
- CHepatitis B vaccine
- DTetanus toxoid vaccine
4.Medium
An alcohol-based skin prep has been used before surgery with electrosurgery. What must happen before the drapes are placed?
- AThe prep must be warmed with a hair dryer
- BThe prep must be covered with the drapes while it is still wet
- CThe prep must be fully dry and any pooled liquid removed
- DThe prep must be wiped off with saline
5.Medium
A patient with poorly controlled seizures asks about activities at home. Which advice is most important?
- ANever swim or bathe alone
- BAvoid all forms of exercise
- CSleep sitting up in a chair
- DAvoid drinking water before bed
6.Medium
Why is blood glucose control important around the time of surgery?
- AHigh glucose impairs white cell function and raises the risk of surgical site infection
- BGlucose levels only affect patients who have type 1 diabetes
- CHigh glucose makes anesthetic drugs work for much longer and delays waking up
- DLow glucose is needed around surgery so that the wound edges close more quickly
7.Hard
Which patient should the nurse assess first?
- AA patient on chemotherapy with a new temperature of 38.4 °C (101.1 °F)
- BA patient with tuberculosis who is asking to have visitors
- CA patient with an MRSA wound due for a routine dressing change
- DA patient who wants more alcohol hand rub in the room
8.Hard
A patient on airborne precautions needs an urgent CT scan. Which plan is correct?
- AThe scan is postponed until the patient is no longer infectious
- BPatient goes unmasked, and the CT room is cleaned the next day
- CPatient masked, CT warned in advance, staff in respirators
- DPatient wears an N95 respirator, so staff need no protection
Answer key
- 1. B · A used scalpel blade
- 2. A · They stop fire and smoke spreading between areas
- 3. A · MMR (measles, mumps, rubella)
- 4. C · The prep must be fully dry and any pooled liquid removed
- 5. A · Never swim or bathe alone
- 6. A · High glucose impairs white cell function and raises the risk of surgical site infection
- 7. A · A patient on chemotherapy with a new temperature of 38.4 °C (101.1 °F)
- 8. C · Patient masked, CT warned in advance, staff in respirators
Full step-by-step solutions: practise this topic on examproblems.com.